I use a joystick with my right hand, and with my left hand I use the mouse and also access the keyboard when necessary. I focus mainly on my joystick and rely on my mouse when I need to turn quickly.

...thats an idea. Could us the Thrustmaster Cougar in right hand as it has 1500 hat switches and buttons. But in the left hand one would need a left handed mouse, don't know if there is such a thing. Especially one that has Intellimouse equipment.